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Central Neurogenic Hyperventilation with Acute Respiratory Alkalosis, Transient Lactic Acidosis and Tachycardia Following Endoscopic Third Ventriculostomy in a Child – A Case Report

Central Neurogenic Hyperventilation with Acute Respiratory Alkalosis, Transient Lactic Acidosis and Tachycardia Following Endoscopic Third Ventriculostomy in a Child – A Case Report

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Abstract

Background: Central neurogenic hyperventilation (CNH) is a rare but well documented complication after endoscopic third ventriculostomy (ETV) in adults. Case Characteristics: 6 year old developed CNH, acute respiratory alkalosis, intraoperative tachycardia and lactic acidosis following ETV for a pineal gland tumour causing obstructive hydrocephalus. Observations: Attributed to irritation of the hypothalamus while irrigating the floor of the thrid ventricle with normal saline. Outcome: Treatment with sedation and oxygen via rebreathing mask resulted in normalization of symptoms and blood gas. Message: CNH can occur in children following ETV and should be recognized early. Measurement of ICP during ETV and use of alternative irrigation fluids such as lactated ringer’s or artificial CSF may minimize occurrence.

References

21 Cites in Article
  1. 1. S. Huhn,W. Feaster,C. Larson (2004). Pediatric surgery In: Anesthesiologist’s Manual of Surgical Procedures 3rd ed. Anesthesiologist’s Manual of Surgical Procedures, 2004, 945-948.
  2. 2. A. El-Dawlatly,E. Elgamal,W. Murshid,S. Alwatidy,Z. Jamjoom,A. Alshaer (2008). Anesthesia for third ventriculostomy. A report of 128 cases. Middle East J Anesthesiol, 19, 847-857.
  3. 3. P. Ganjoo,S. Sethi,M. Tandon,R. Chawla,D. Singh (2009). Incidence and pattern of intraoperative hemodynamic response to endoscopic third ventriculostomy. Neurology India, 57(2), 162.
  4. 4. Walker ML (2004). Complications of third ventriculostomy. Neurosurg Clin N Am, 15, 61-66.
  5. 5. R. Mason,V. Broaddus,T. Martin,T. King,Jr,D. Schraufnagel,J. Murray (2010). Mason RJ, Broaddus VC, Martin TR, King TE Jr, Schraufnagel DE, Murray JF, et al.: Murray & Nadel’s textbook of respiratory medicine.
  6. 6. Fred Plum,A. Swanson (1959). Central Neurogenic Hyperventilation in Man. Archives of Neurology And Psychiatry, 81(5), 535.
  7. 7. Tarulli AW,Lim C,Bui JD,Saper CB,Alexander MP (2005). Central Neurogenic Hyperventilation: A Case Report and Discussion of Pathophysiology Arch Neurol.
  8. 8. J. Korean (2010). Sung HJ, Sohn JT, Kim JG, Shin IW, Ok SH, Lee HK, et al.: Acute respiratory alkalosis occurring after endoscopic third ventriculostomy - a case report. Anesthesiol 59: S194-S196, S194.
  9. 9. Hae Mi Lee,M.,Kyung Bae Shin,M. Seong Ho Kim,M. Dae Lim Jee,M. (2012). An Acute Postoperative Intractable Hyperventilation after an Endoscopic Third Ventriculostomy. J Korean Neurosurg Soc, 51, 173-176.
  10. 10. J. Souto-Ferro,R. Valero-Castell,F. bregas-Juli,Carrero Cardenal,E. (1997). bregas-Juli N, Carrero Cardenal E Postoperative respiratory alkalosis as a complication of neuroendoscopy. Rev Esp Anestesiol Reanim, 44, 83-85.
  11. 11. Fabregas N,L. A,Valero R,Carrero E,Caral L,Ferrer E (2000). Anesthetic management of surgical neuroendoscopies: usefulness of monitor pressure inside the neuroendoscope. J Neurosurg Anesthesiol, 12, 21-28.
  12. 12. M. Pranzatelli,S. Pavlakis,R. Gould,D. De Vivo (1991). Hypothalamic-Midbrain Dysregulation Syndrome: Hypertension, Hyperthermia, Hyperventilation, and Decerebration. J Child Neurol, 6, 115-122.
  13. 13. Grimm Druml W,Lenz Laggner AN (1991). Lactic acid kinetics in respiratory alkalosis. 1991 Sep, 19(9), 1120-1124.
  14. 14. Yoshiyasu Ueda,Masayo Aizawa,Atsushi Takahashi,Masamitsu Fujii,Yoshitaka Isaka (2009). Exaggerated compensatory response to acute respiratory alkalosis in panic disorder is induced by increased lactic acid production. Nephrology Dialysis Transplantation, 24(3), 825-828.
  15. 15. T. Chiba,H. Ishii,S. Takahashi,T. Yano (2011). RELATIONSHIP BETWEEN BLOOD LACTATE AND HYPERVENTILATION DURING HIGH-INTENSITY CONSTANT-LOAD EXERCISE IN HEAT. Sport, 28, 159-163.
  16. 16. Syed Faraz Kazim,Ather Syed,Muhammad Enam,ShahzadShamim (2010). Possible detrimental effects of neurosurgical irrigation fluids on neural tissue: An evidence based analysis of various irrigants used in contemporary neurosurgical practice. International Journal of Surgery, 8, 586-590.
  17. 17. K. Uchida,M. Yamada,T. Hayashi,Y. Mine,T. Kawase (2004). Possible harmful effects on central nervous system cells in the use of physiological saline as an irrigant during neurosurgical procedures. Surg Neurol, 62, 96-105.
  18. 18. Fujita Y,Doi K,Harada D,Kamikawa S (2010). Modulation of physiological hemostasis by irrigation solution: comparison of various irrigation solutions using a mouse brain surface bleeding model. J Neurosurg, 112, 824-828.
  19. 19. Nishimura M,Doi K,Naito S (2010). Pharmacological assessment of ARTCEREB irrigation and perfusion solution for cerebrospinal surgery using primary cultures of rat brain cells. J Toxicol Sci, 35(4), 447-57.
  20. 20. Doi K,Kawano T,Morioka Y,Fujita Y,Nishimura M (2006). Various irrigation fluids affect postoperative brain edema and cellular damage during experimental neurosurgery in rats. Surg Neurol, 66, 565-571.
  21. 21. Oka K,Yamamoto M,Nonaka T,Tomonaga M (1996). The Significance of Artificial Cerebrospinal Fluid as Perfusate and Endoneurosurgery. Neurosurgery, 38, 733-736.

Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Fajish Habib, Tejas Mehta, Ahamed Lafir Aliyar, Ahmed Sayed Youssef, Adnan Khan, Neeraj Kumar. 2016. "Central Neurogenic Hyperventilation with Acute Respiratory Alkalosis, Transient Lactic Acidosis and Tachycardia Following Endoscopic Third Ventriculostomy in a Child – A Case Report". Global Journal of Medical Research - F: Diseases GJMR-F Volume 16 (GJMR Volume 16 Issue 22 (F5)).

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords
Classification
GJMR-F Classification NLMC Code: WL 141.5.N4
Version of record
v1.2

Issue date
July 4, 2016

Language
English
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Central Neurogenic Hyperventilation with Acute Respiratory Alkalosis, Transient Lactic Acidosis and Tachycardia Following Endoscopic Third Ventriculostomy in a Child – A Case Report

Fajish Habib
Fajish Habib